Journal of Health, Population, and Nutrition最新文献

{"title":"Analysis and comparison of the trends in burden of low back pain in China and worldwide from 1990 to 2021.","authors":"Yongcun Wei, Yanchun Xie, Anwu Xuan, Hongwen Gu, Yi Lian, Zening Wang, Hongwei Wang, Hailong Yu","doi":"10.1186/s41043-025-00768-8","DOIUrl":"10.1186/s41043-025-00768-8","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) substantially affects quality of life and functional capacity, ranking as a major global cause of disability. While the global burden of LBP has been extensively studied, China's unique demographic, socioeconomic, and healthcare contexts warrant focused attention. As the world's most populous nation undergoing rapid urbanization and aging, China presents a distinct landscape for LBP epidemiology. This study aims to chart the temporal shifts in the age- and sex-specific burdens of LBP in China from 1990 to 2021, encompassing incidence, prevalence, and disability-adjusted life years (DALYs). By benchmarking these trends against the worldwide disease burden, this research provides critical insights into how China's experience aligns with or diverges from global patterns, offering valuable guidance for targeted public health strategies.</p><p><strong>Methods: </strong>This study leveraged open-access data from the Global Burden of Disease (GBD) repository, spanning the years 1990 to 2021, to scrutinize the epidemiological profile of LBP in China and across the globe. The analysis encompassed fluctuations in LBP incidence, prevalence, and DALYs. The Joinpoint regression model was employed to determine the average annual percentage change (AAPC) and its associated 95% confidence interval (95% CI), thereby quantifying the trajectory of LBP burden. A multifaceted comparative evaluation was performed to elucidate disparities in LBP burden between China and other regions, examining various aspects such as age, gender, and temporal dynamics.</p><p><strong>Results: </strong>From 1990 to 2021, both China and the world experienced a decline in age-standardized metrics related to LBP. In China, the age-standardized incidence rate (ASIR) decreased from 2,859.383 to 2,342.459 per 100,000, while globally, it fell from 3,534.988 to 3,176.63 per 100,000. Similarly, the age-standardized prevalence rate (ASPR) in China declined from 6,635.488 to 5,342.1 per 100,000, compared to a global reduction from 8,391.582 to 7,463.13 per 100,000. The age-standardized DALYs rate (ASDR) in China also dropped from 749.026 to 603.033 per 100,000, while globally, it decreased from 937.339 to 832.179 per 100,000. Notably, according to the AAPC results, China showed a more pronounced decrease in these metrics compared to the global averages, especially before 2015. Gender differences were evident, with women consistently exhibiting higher incidence, prevalence, and DALYs for LBP across all age groups and years. Age-related disparities were also significant: in 2021, the crude incidence rate (CIR), crude prevalence rate (CPR), and crude DALY rate (CDR) peaked in the 85-89 age group, reflecting the substantial burden of LBP among older adults. However, the highest number of incidence, prevalence, and DALYs was observed in the 55-59 age group, indicating a shift toward middle-aged individuals as a key affected population. Overall, while ","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"39"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating metabolic control and complications in type 2 diabetic patients with low income in northwest of Iran, 2023.","authors":"Shahin Yarahmadi, Bahram Nikkhoo, Parya Miraki, Khaled Rahmani","doi":"10.1186/s41043-025-00742-4","DOIUrl":"10.1186/s41043-025-00742-4","url":null,"abstract":"<p><strong>Background and aim: </strong>Socioeconomic factors are very important in non-communicable diseases (NCD) and their complications as a risk factor or as a barrier to receive effective health care. This study aimed to determine the prevalence of diabetes complications and factors related to glycemic control in type 2 diabetic patients with low income in Kurdistan Province, Iran.</p><p><strong>Method: </strong>This cross-sectional study was conducted on 608 diabetic patients supported by the Imam Khomeini Relief Foundation in 2023 in the province of Kurdistan, northwest of Iran. In addition to collecting demographic data, major complications of diabetes were specified by clinical examination by specialist physicians and paraclinical data. Data analysis was performed in Stata version 16 using descriptive statistics and logistic regression modeling.</p><p><strong>Results: </strong>A total of 608, 76.6% female, with mean and standard deviation age 62.7 ± 9.7 years were investigated. Prevalence of retinopathy, nephropathy, neuropathy, and diabetic foot ulcers were 42.9%, 6.9%, 3.3% and 4.3%, respectively. HbA1C levels were favorable (≤ 7.5) in only 231 (38.0%) patients. Longer duration of diabetes was associated with worse glycemic control0.95 (OR = 0.95; 95%CI:0.90-0.96), whereas comorbidity of DM and hypertension (OR = 2.05; 1.36-3.10) was significantly associated with good glycemic control.</p><p><strong>Conclusion: </strong>Based on the results obtained, the health care and glycemic control status of low-income diabetic patients is not favorable. Considering the vulnerability of this group due to their low-risk perception and low income, it is recommended to teach self-care behaviors and plan routine care to prevent disease complications and, if necessary, fully cover the cost of care for these patients by the national health system.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"38"},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining factors affecting regional poverty levels in Türkiye: a comparison of ordered discrete choice models.","authors":"Şeyda Ünver, Ömer Alkan, Ali Kemal Çelik, Hayri Abar","doi":"10.1186/s41043-024-00722-0","DOIUrl":"10.1186/s41043-024-00722-0","url":null,"abstract":"<p><strong>Background: </strong>This study aims to determine the factors affecting the poverty rate among the households in question by region, the western, central, and eastern regions underwent research separately.</p><p><strong>Methods: </strong>This study uses the ordered discrete choice models: the heteroskedastic ordered logistic regression, generalized ordered probit, and partial proportional odds models.</p><p><strong>Results: </strong>Based on the findings of the data, statistically significant relationships between the variables; age, gender, levels of education, marital status, the number of equivalent individuals within the household, the existence of individuals under the age of 5 within the household, the presence of individuals over the age of 65 within the household, working status, the number of working individuals within the household, financial difficulty, the presence of income generated through real estate (rent) or securities, residential homeownership, chronic diseases, and the year of data collection were spotted.</p><p><strong>Conclusions: </strong>Poverty is a multidimensional concept that can emerge due to several economic and social factors. Therefore, the policies that can be developed to reduce poverty can vary. To solve the problem of poverty, countries identify the factors that cause poverty and develop policies accordingly. Factors influencing household poverty levels across regions in Türkiye were identified, and several policy recommendations aimed to alleviate poverty were offered, considering the results achieved in this study. Given the results, Non-Governmental Organizations (NGOs) must implement practical projects that provide in-kind and cash assistance to those in need, offer employment opportunities, and improve the productivity of the impoverished. Continuous aid to the poor without expecting anything in return encourages them to be lazy, which may have a negative effect by increasing their dependency on getting help. In our country, an institutional monitoring mechanism should be established to measure the effectiveness of the in-kind and cash aids provided by central government institutions, local governments, and various non-governmental organizations in the fight against poverty.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"37"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11817306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between hemoglobin, albumin, lymphocyte, and platelet score and short-term mortality in critically ill patients.","authors":"Chong Zhang, Wenjin Peng, Meng Ning, Weiru Liang, Bin Su, Tingting Guo, Kun Hu, Wei Su, Yi Chen, Yingwu Liu","doi":"10.1186/s41043-025-00759-9","DOIUrl":"10.1186/s41043-025-00759-9","url":null,"abstract":"<p><strong>Background: </strong>Hemoglobin, albumin, lymphocyte and platelet (HALP) score is derived from the counts of hemoglobin, albumin, lymphocytes, and platelets. It serves as a valuable tool for assessing both inflammation and nutritional status in critically ill patients. However, there hasn't been a specific study exploring the role of the HALP score in critically ill patients. Additionally, whether the HALP score exhibits an incremental effect on the Sequential Organ Failure Assessment (SOFA) score remains unknown.</p><p><strong>Methods: </strong>In this study, we used the Medical Information Mart for Intensive Care (MIMIC-IV) version 2.2 database to evaluate the predictive value of HALP score for critically ill patients. The primary outcome investigated was intensive care unit (ICU) death, and the secondary outcomes included in-hospital mortality, ICU length of stay (LOS), hospital LOS, and 28-day mortality.</p><p><strong>Results: </strong>We analyzed 20,083 critically ill patients. In logistic regression, a low HALP score (HALP score < 3.56) showed higher risk of ICU death (adjusted odds ratio: 1.41, 95% confidence interval [CI]: 1.25 to 1.59). Additionally, the HALP score improved the predictive ability of the SOFA score (∆Area under curve: 0.009, p < 0.001). In Cox proportional hazards models, a low HALP score (HALP score < 3.2) was also associated with a higher risk of 28-day mortality (adjusted hazard ratio: 1.52, 95% CI: 1.33 to 1.74).</p><p><strong>Conclusion: </strong>HALP score is associated with short-term mortality. Additionally, HALP score showed an incremental effect on SOFA score in predicting short-term mortality.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"36"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional intake of micronutrient and macronutrient and type 2 diabetes: machine learning schemes.","authors":"Mohammad Rashidmayvan, Amin Mansoori, Elahe Derakhshan-Nezhad, Davoud Tanbakuchi, Fatemeh Sangin, Maryam Mohammadi-Bajgiran, Malihehsadat Abedsaeidi, Sara Ghazizadeh, MohammadReza Mohammad Taghizadeh Sarabi, Ali Rezaee, Gordon Ferns, Habibollah Esmaily, Majid Ghayour-Mobarhan","doi":"10.1186/s41043-024-00712-2","DOIUrl":"10.1186/s41043-024-00712-2","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus, an endocrine system disease, is a common disease involving many patients worldwide. Many studies are performed to evaluate the correlation between micronutrients/macronutrients on diabetes but few of them have a high statistical population and a long follow-up period. We aimed to investigate the relationship between intake of macro/micronutrients and the incidence of type 2 diabetes (T2D) using logistic regression (LR) and a decision tree (DT) algorithm for machine learning.</p><p><strong>Method: </strong>Our research explores supervised machine learning models to identify T2D patients using the Mashhad Cohort Study dataset. The study population comprised 9704 individuals aged 35-65 years were enrolled regarding their T2D status, and those with T2D history. 15% of individuals are diabetic and 85% of them are non-diabetic. For ten years (until 2020), the participants in the study were monitored to determine the incidence of T2D. LR is a statistical model applied in dichotomous response variable modeling. All data were analyzed by SPSS (Version 22) and SAS JMP software.</p><p><strong>Result: </strong>Nutritional intake in the T2D group showed that potassium, calcium, magnesium, zinc, iodine, carotene, vitamin D, tryptophan, and vitamin B12 had an inverse correlation with the incidence of diabetes (p < 0.05). While phosphate, iron, and chloride had a positive relationship with the risk of T2D (p < 0.05). Also, the T2D group significantly had higher carbohydrate and protein intake (p-value < 0.05).</p><p><strong>Conclusion: </strong>Machine learning models can identify T2D risk using questionnaires and blood samples. These have implications for electronic health records that can be explored further.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"31"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between dietary intake and atherogenic index of plasma in cardiometabolic phenotypes: a cross-sectional study from the Azar cohort population.","authors":"Shirin Soheilifard, Elnaz Faramarzi, Reza Mahdavi","doi":"10.1186/s41043-025-00761-1","DOIUrl":"10.1186/s41043-025-00761-1","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases are a leading cause of global mortality, with diet playing a key role in their progression. The Atherogenic Index of Plasma (AIP) is a predictive marker for cardiovascular risk, but its association with dietary intake across cardiometabolic phenotypes remains underexplored. This study investigates the relationship between dietary intake and AIP, hypothesizing that energy intake and macronutrients influence AIP and, consequently, cardiovascular risk.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from 9,515 participants aged 35-55 in the Azar cohort study. Based on Body Mass Index (BMI) and metabolic syndrome (MetS), participants were classified into four phenotypes: metabolically healthy normal weight (MHNW), metabolically unhealthy normal weight (MUHNW), metabolically healthy obese (MHO), and metabolically unhealthy obese (MUHO). Dietary intake was evaluated using a semi-quantitative food frequency questionnaire (FFQ), and AIP was calculated. Adjustments were made for age, gender, socioeconomic status, and physical activity.</p><p><strong>Results: </strong>A notable difference was observed in demographic and clinical status between cardiometabolic groups of males and females. The AIP was highest in the MUHNW (0.42 for males; 0.28 for females) and lowest in the MHNW (0.05 for males; -0.05 for females, P < 0.001). There was a statistically significant difference in the mean energy intake and the percentage of energy intake from protein among the cardiometabolic phenotypes (p < 0.001). After adjusting for confounders, only weak but meaningful correlations remained for energy, carbohydrate, and protein intake in the MUHO (r = 0.048, P = 0.01; r = 0.057, P = 0.003; and r = 0.050, P = 0.01) and for carbohydrate and lipid intake in the MHO (r = 0.034, P < 0.01 and r = -0.055, P < 0.001).</p><p><strong>Conclusion: </strong>The study found weak but meaningful correlations between energy, carbohydrate, and protein intake and AIP in the MUHO phenotype and between carbohydrate and lipid intake and AIP in the MHO phenotype. This highlights the role of energy and carbohydrates in AIP within specific subgroups. Future research should focus on the effects of macronutrient combinations on AIP and long-term dietary impacts on metabolic health instead of BMI.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"28"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude and practice of health care workers on solid medical waste management in two urban hospitals of Bangladesh: a mixed-method study.","authors":"Md Tauhidul Islam, Md Abdur Rafi, Mohammad Jahid Hasan","doi":"10.1186/s41043-025-00748-y","DOIUrl":"10.1186/s41043-025-00748-y","url":null,"abstract":"<p><strong>Background: </strong>Proper management of solid medical waste is a crucial component of an efficient healthcare system. The objective of the present study was to assess the knowledge, attitude, and practices of medical waste management among the healthcare workers of two selected hospitals of Dhaka city of Bangladesh.</p><p><strong>Methods: </strong>This cross-sectional, mixed-method study was conducted in two tertiary care hospitals of Dhaka, Bangladesh-icddr, b Dhaka hospital (Private) and Dhaka Shishu hospital (Public) during November, 2011. A number of 138 healthcare professionals (29 doctors, 80 nurses and 29 cleaners) participated in the study. The study had three parts of data collection: (i) survey with health care workers to determine their knowledge, attitudes, and practices about medical waste management; (ii) in-depth interviews with health officials of infection control committee; and (iii) observation using a facility checklist to determine the current practice of medical waste management.</p><p><strong>Results: </strong>Overall, participants from IDH had better knowledge, and practice regarding solid medical waste management compared to DSH. Doctors of IDH demonstrated better knowledge regarding the responsible person for waste management and a better attitude regarding the statement that it was a teamwork (p-value < 0.05). Similarly, nurses and cleaners of IDH showed superior level of knowledge of waste handling as well as safer practices, including consistent use of personal protective equipment. Workers of DSH reported higher incidence of errors and sharp injuries also. From the observation, it was found that IDH authority was more likely to follow the waste management guideline. Poor knowledge and attitude were the major barriers for proper waste management in IDH while lack of funds, human resource and logistics were the major barriers in DSH.</p><p><strong>Conclusions: </strong>Both hospitals, particularly DSH, demonstrated significant deficiencies in knowledge, attitude, and practice of proper solid medical waste management. Despite limitations, IDH, exhibited more efficient waste management procedures.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"34"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, risk factors, and adverse perinatal outcomes in Chinese women with preeclampsia: a large retrospective cohort study.","authors":"Lin Chai, Shuai Li, Binbin Yin, Xiaojun Zhu, Bo Zhu, Kaiqi Wu","doi":"10.1186/s41043-025-00778-6","DOIUrl":"10.1186/s41043-025-00778-6","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia (PE) is the primary cause of maternal and neonatal morbidity and mortality. However, comprehensive studies on the related risk factors with PE and its effects on adverse perinatal outcomes are limited. This study aimed to evaluate the prevalence, risk factors, and adverse perinatal outcomes in Chinese women with preeclampsia.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study from January 1, 2018, to December 31, 2019, which enrolled 38,496 women without preeclampsia (non-PE) and 1130 women with PE. Univariate and multivariate logistic regression models were used to determine the risk factors and adverse perinatal outcomes of PE.</p><p><strong>Results: </strong>Multivariate logistic regression models showed that maternal age > 35 years, pp-BMI overweight/obesity, excessive gestational weight gain, multiparity, twin pregnancy, IVF, cesarean section history, times of abortion history ≥ 2, GDM, and ICP were significantly associated with the risk of PE (all P < 0.05). Women with PE in singleton pregnancies were associated with an increased risk of maternal outcomes of cesarean section, and preterm birth, and a higher risk of neonatal outcomes of stillbirth, low birth weight, fetal distress, neonatal asphyxia, and neonatal unit admission, which were also observed in women with PE in twin pregnancies, except for stillbirth and neonatal asphyxia.</p><p><strong>Conclusion: </strong>This study identified the risk factors and associated adverse perinatal outcomes of PE, which providing comprehensive evidence for clinicians to manage women at risk of PE.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"32"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of health workers during the COVID-19 pandemic and beyond: piloting WHO framework in Iran.","authors":"Jafar Sadegh Tabrizi, Mondher Letaief, Hossein Mashhadi Abdolahi, Ramin Rezapour, Ahmed Alboksmaty, Mostafa Farahbakhsh","doi":"10.1186/s41043-025-00749-x","DOIUrl":"10.1186/s41043-025-00749-x","url":null,"abstract":"<p><strong>Background: </strong>Health Workers Safety (HWS) is a global health priority and essential at all times, in stable situations, in emergencies, in disease epidemics or pandemics. This study aimed to assess HWS during the COVID-19 Pandemic.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2022 in east Azerbaijan province, Iran. HWS was assessed based on 22 indicators suggested by WHO EMRO. We selected 15 PHC facilities and six wards from two hospitals randomly. Data collected (qualitative and quantitative) using national digital health records, staff records, and indicator-specific tools. In addition to measuring the indicator's value, the indicators' feasibility was also assessed. Descriptive and inferential statistics with SPSS-16 were used for data analysis.</p><p><strong>Results: </strong>Totally, 325 Health Workers (HWs) (218 from PHC facilities and 107 from hospitals) participated in the study. Most of the participants in PHC facilities and hospitals were Community Health Workers (CHWs) (Moragheb Salamat) (45.4%) and nurses (37.38%), respectively. Most of HWs had completed the full vaccination schedule for Hepatitis B and COVID-19. Personal Protective Equipment (PPE) safety protocols were adhered by most of HWs within a healthcare facility. None of managers had attended nationally certified training for mental health support for health and care workers. Less than 20% of HWs participated in the work burnout prevention courses and most of HWs complained about work overload, or burnout. The job satisfaction level of hospital HWs (60.20%) was significantly higher than that of HWs from PHC facilities (57.18%) (P < 0.001).</p><p><strong>Conclusion: </strong>Even though the mental health of HWs was not as expected, the indicators related to physical health and occupational health were at a suitable level. Also, there is not a system in PHC to audit the application of safety measures to mitigate the risk of contracting COVID-19. We recommend creating a specific system (precise and detailed) for HWs' safety and applying safety measures in the PHC routine programs.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"29"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional knowledge and practices of low-income women during pregnancy: a qualitative study in two Oaxacan cities.","authors":"Marian Marian, Ramona L Pérez, Amanda C McClain, Samantha Hurst, Elizabeth Reed, Kathryn M Barker, Rebecka Lundgren","doi":"10.1186/s41043-025-00776-8","DOIUrl":"10.1186/s41043-025-00776-8","url":null,"abstract":"<p><strong>Background: </strong>Adequate dietary intake is critical for healthy pregnancies. Recent changes in social services in Mexico, coupled with high levels of food insecurity, call into question whether expecting women of the lowest socioeconomic status are able to meet their dietary and nutritional needs in this changing context. The aim of this study was to explore the nutritional practices, education and received and employed among women during their pregnancy.</p><p><strong>Methods: </strong>Guided by Ecological Systems Theory and an Intersectionality Framework, this qualitative study was carried out in Oaxaca City and Puerto Escondido, in Oaxaca, a Mexican state with high levels of food insecurity. Women who had at least one child in the past five years and had lived in Oaxaca for the past five years were eligible to participate. Twenty-five women participated in semi-structured in-depth interviews conducted between June and December of 2023. A grounded theory approach was used for coding. NVivo was used for coding and analyses.</p><p><strong>Results: </strong>Five key themes emerged linked to individual-level characteristics and the multiple social identities related to the social support for nutritional knowledge and practices among low-income Oaxacan women during pregnancy: (1) Life experiences, sociodemographic, and health characteristics that influence nutritional practices and knowledge during pregnancy; (2) Female family members as a primary source of nutritional knowledge and food support; (3) Support from other members of women's social networks; (4) Medical guidance for nutrition during pregnancy; and (5) Quality and gaps in the broader health care system and social services. These themes highlight how women's own experiences and social identities and the different interpersonal and community-level environments, particularly those of mothers and grandmothers and health care providers, interact and shape women's nutritional knowledge and practices, such as foods and nutritional supplements consumed, during pregnancy.</p><p><strong>Conclusion: </strong>Nutritional knowledge and practices during pregnancy are impacted by multiple social identities women have and different factors at the individual, group, and structural level. Future multi-level approaches in research and programming that take into consideration the individual, family members, and other social influences are needed to address the gaps in nutrition that women in Oaxaca go through during the prenatal period.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"33"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}